Overview
It's a maintenance inhaler, not for sudden attacks. Keep a rescue inhaler.
What it's used for
- COPD
- Asthma (Respimat, added to other controllers)
How to take it
- Use it once a day at the same time.
- HandiHaler capsules go in the device only. Never swallow them.
- Keep the mist or powder out of your eyes.
Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.
Side effects
Common side effects
- Dry mouth
- Sore throat
- Constipation
- Cough
Warnings
- Tell your provider about glaucoma, an enlarged prostate, or bladder problems.
Other medicines, foods, and alcohol
- Avoid other anticholinergic inhalers like ipratropium unless your provider says to.
Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.
Pregnancy and breastfeeding
Talk with your provider.
Missed doses, overdose, and storage
If you miss a dose
Take it as soon as you remember, unless it's almost time for your next dose. Then skip the missed dose. Don't take two doses at once.
If someone takes too much
Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.
Storing it
Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.
Conditions it's used for
Sources
- DailyMed: FDA drug label for Tiotropium (U.S. National Library of Medicine)
- MedlinePlus: Drugs, herbs, and supplements
- FDA: Drugs@FDA
Last updated 2026-11-13.